Individual provider Active NPI

Terry Neil Mehigan, FNP

  • Primary Care Nurse Practitioner
  • Saint Joseph, MI
National Provider Identifier
1851818876
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704280228 Issued in MI
Practice address
3800 Hollywood Rd Ste 104
Saint Joseph, MI 49085-8511
Phone
(269) 428-0819
Fax
(269) 428-0841
NPI assigned
Aug 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704280228 MI Primary

Addresses

Primary practice location

3800 Hollywood Rd Ste 104
Saint Joseph, MI 49085-8511

Mailing address

2165 Brown School Rd
Saint Joseph, MI 49085-2903
Phone (574) 215-4823

Other practice location 1

338 8th St
Benton Harbor, MI 49022-5006
Phone (269) 605-0135

Other practice location 2

8 Longmeadow Dr
Niles, MI 49120
Phone (269) 684-0116

Other identifiers 1

IdentifierTypeStateIssuer
4704280228OtherMINURSE PRACTITIONER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170926002889 MI Practitioner - Nurse Practitioner 9931473147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Michigan Nephrology LLCGroup PAC ID 2062511629, 6 clinicians

Practice addresses (Care Compare)

16 S Saint Joseph Ave
Joseph Ave
Niles, MI 49120-2847
Phone (269) 428-0819

3800 Hollywood Rd
Saint Joseph, MI 49085-8511
Phone (269) 428-0819

Hospital & facility affiliations

  • Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
81.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tmehigan1270829@epic00.shdirect.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851818876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 BROWN SCHOOL RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852903",
            "telephone_number": "574-215-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD STE 104",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858511",
            "telephone_number": "269-428-0819",
            "fax_number": "269-428-0841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 8th St",
            "address_purpose": "LOCATION",
            "city": "Benton Harbor",
            "state": "MI",
            "postal_code": "490225006",
            "country_code": "US",
            "telephone_number": "269-605-0135",
            "fax_number": "269-605-0140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Longmeadow Dr",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "49120",
            "country_code": "US",
            "telephone_number": "269-684-0116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHIGAN",
        "first_name": "TERRY",
        "middle_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704280228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "4704280228",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.